Individual provider Active NPI

Ashlyn Marie Eades, LMHCA, LPC

  • Professional Counselor
  • Indianapolis, IN
National Provider Identifier
1891433199
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2204163 Issued in OH
Practice address
1455 N Pennsylvania St
Indianapolis, IN 46202-2420
Phone
(937) 319-4448
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2204163 OH
Professional Counselor 101YP2500X C.2204163 OH Primary

Addresses

Primary practice location

1455 N Pennsylvania St
Indianapolis, IN 46202-2420

Mailing address

1455 N Pennsylvania St
Indianapolis, IN 46202-2420
Phone (937) 319-4448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240315000226 IN Practitioner - Mental Health Counselor 4880068261 Reassigns benefits to 1 organization
I20240516002218 OH Practitioner - Mental Health Counselor 4880068261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darcie R Clark LPCC LLCGroup PAC ID 3779958947, 5 clinicians

Practice addresses (Care Compare)

11 W Monument Ave
Suite 100
Dayton, OH 45402-1293
Phone (937) 671-1589

1455 N Pennsylvania St
Riverscape Counseling
Indianapolis, IN 46202-2420
Phone (937) 319-4448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2204163OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Darcie R Clark LPCC LLC Mental Health CurrentSince Feb 15, 2024 Accepting new patients

Locations

1455 N Pennsylvania St
Indianapolis, IN 46202
Phone (937) 319-4448

11 W Monument Ave
Ste 100
Dayton, OH 45402
Phone (937) 319-4448

1730 E High St
Springfield, OH 45505
Phone (937) 322-6411

761 Miamisburg Centerville Rd
Washington Township, OH 45459
Phone (937) 319-4448

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1891433199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 N PENNSYLVANIA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022420",
            "telephone_number": "937-319-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 N PENNSYLVANIA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022420",
            "telephone_number": "937-319-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADES",
        "first_name": "ASHLYN",
        "middle_name": "MARIE",
        "credential": "LMHCA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2204163",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.